Hafkemeijer Laurian, de Jongh Ad, van der Palen Job, Starrenburg Annemieke
Department of Adult Psychiatry, GGZ Delfland, Delft, The Netherlands.
Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands.
Eur J Psychotraumatol. 2020 Nov 19;11(1):1838777. doi: 10.1080/20008198.2020.1838777.
Little is known about the effects of targeting memories of adverse (childhood) events in people with a personality disorder (PD). : Determining the effectiveness of brief EMDR therapy in individuals with PD. In a randomized-controlled trial, 97 outpatients with a PD as main diagnosis were allocated to either five (90 minutes) sessions of EMDR therapy ( = 51) or a waiting list (WL) control condition ( = 46) followed by 3 months of treatment as usual for their PD. Individuals with posttraumatic stress disorder (PTSD) were excluded. Measurements were performed on psychological symptoms, psychological distress, and personality dysfunctioning. Outcomes were compared at baseline, post-treatment, and at 3-month follow up. Data were analysed as intent-to-treat with linear mixed models. EMDR therapy yielded significant improvements with medium to large effect sizes for the primary outcomes after treatment, i.e. psychological symptoms (EMDR: d =.42; control group: d =.07), psychological distress (EMDR: d =.69; control group: d =.29), and personality functioning (EMDR: d =.41; control group: d = -.10) within groups. At 3-month follow-up, after 3 months of TAU, improvements were maintained. Significant differences were found between both groups regarding all outcome measures in favour of the EMDR group at post-treatment (ds between -.62 and -.65), and at follow-up, after 3 months of TAU (ds between -.45 and -.53). The results suggest that EMDR therapy can be beneficial in the treatment of patients with PDs. More rigorous outcome research examining long-term effects and using a longer treatment track is warranted.
对于针对人格障碍（PD）患者（童年期）不良事件记忆进行干预的效果，人们知之甚少。：确定简短眼动脱敏再处理疗法（EMDR）对PD患者的有效性。在一项随机对照试验中，97名以PD为主要诊断的门诊患者被分配到5次（每次90分钟）EMDR治疗组（n = 51）或等待名单（WL）对照组（n = 46），随后对其PD进行3个月的常规治疗。排除创伤后应激障碍（PTSD）患者。对心理症状、心理困扰和人格功能障碍进行测量。在基线、治疗后和3个月随访时比较结果。采用线性混合模型对数据进行意向性分析。EMDR治疗在治疗后对主要结局产生了显著改善，效应量为中到大，即组内心理症状（EMDR：d = 0.42；对照组：d = 0.07）、心理困扰（EMDR：d = 0.69；对照组：d = 0.29）和人格功能（EMDR：d = 0.41；对照组：d = -0.10）。在3个月随访时，经过3个月的常规治疗后，改善得以维持。在治疗后（效应量在-0.62至-0.65之间）以及随访时，经过3个月的常规治疗后（效应量在-0.45至-0.53之间），两组在所有结局指标上均存在显著差异，均有利于EMDR组。结果表明，EMDR治疗对PD患者的治疗可能有益。有必要进行更严格的结局研究，以检验长期效果并采用更长的治疗疗程。
